| NPI | 1659538635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08800300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 247144) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-12-02 |